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General NPI Number Information
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NPI Number | 1548513906
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Entity Type | Organization
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Legal Business Name | THOMAS F. MOORE, MD, PC
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Dates
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Enumeration Date | 10/23/2012
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Last Update Date | 10/24/2012
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Provider Practice Location Address
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Address Line | 214 E MONTEREY WAY
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City | PHOENIX
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State | AZ
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Zip | 85012-2620
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Country | US
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Telephone | 602-248-9009
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Fax | 602-265-8253
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Provider Business Mailing Address
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Address Line | 214 E MONTEREY WAY
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City | PHOENIX
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State | AZ
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Zip | 85012-2620
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Country | US
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Telephone | 602-248-9009
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Fax | 602-265-8253
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS F MOORE
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Credential | M.D.
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Telephone | 602-248-9009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 3394
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License Number State | AZ
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